
Insurance Claim Analyst
16 hours ago
We are seeking a highly skilled Medical Billing Specialist to process patient billing information and ensure seamless healthcare delivery. The ideal candidate will possess data analysis skills, sound judgment, and experience with billing software and medical insurance policies. In addition to these key qualifications, the successful candidate will be able to work effectively in a fast-paced environment, prioritize tasks, and meet deadlines.
Position: Medical Billing Specialist
Job Type: Full-Time (Night-Shift).
Location:.
Schedule: 6:00 pm to 3:00 am
- Verify patient insurance eligibility and coverage for specific services and procedures.
- Gather and organize necessary medical documentation to support prior authorization requests.
- Submit prior authorization requests electronically or through insurance portals.
- Follow up on pending authorizations and address any issues that arise.
- Analyze trends in prior authorization denials and identify opportunities for improvement.
- Develop and implement strategies to improve the prior authorization process.
- Maintain accurate and up-to-date records of all prior authorization requests and responses.
- Liaise with healthcare providers, insurance companies, and other stakeholders as needed.
- Minimum 2 years of experience in a prior authorization or medical billing role.
- Excellent knowledge of medical terminology and billing codes.
- Strong understanding of healthcare insurance plans and prior authorization requirements.
- Proficient in Microsoft Office Suite and other relevant software.
- Excellent communication and interpersonal skills.
- Strong attention to detail and ability to prioritize tasks.
- Ability to work independently and as part of a team.
- Excellent problem-solving and analytical skills.
- Strong organizational and time management skills.
- Bachelor's degree in Healthcare Administration or related field (preferred).
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